Читать книгу Synopsis of Orthopaedic Trauma Management - Brian H. Mullis - Страница 67

Orthopaedic surgeons face numerous challenges when treating multiply injured patients with orthopaedic injuries. The initial evaluation focuses on life and limb threatening conditions. Early identification and appropriate immobilization of pelvis and extremity injuries (open/closed fracture, vascular insult, compartment syndrome) may improve pain, aid in systemic resuscitation, and limit blood loss. This chapter will explore injury characteristics and factors of patient physiology that influence fracture treatment toward damage-control temporizing measures with external fixation versus initial definitive management. Finally, potential complications of poorly timed and executed fracture interventions in polytrauma patients are discussed.

Keywords: polytrauma, damage control orthopaedics, early appropriate care